NPI | 1336613066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111882) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 5427) |
Enumeration Date | 2019-01-16 |
Last Update Date | 2024-08-21 |